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Deviated uvula post endotracheal tube insertion - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   i have a deviated uvula, touching my tongue, making me feel like I constantly need to clear my throat. It has been like this for around 2 months. What could it be? What can I do?
Doctor :   Hello.
User :   Hi
Doctor :   Which side is the uvula deviated to?
User :   my left
Doctor :   Ok.
Doctor :   give me age, gender height and weight?
User :   I'm 33, female, 152cm, probably approx 60kg (unsure, not weighed since giving birth 8 months ago)
Doctor :   Ok.
User :   incidentally, I did have to have general anaesthetic and tube inserted in throat for manual placental removal, but not aware of the problem going on for the whole 8 months
Doctor :   Do you have any associated symptoms?
User :   seem to have recurrent sore throat, but not at present
Doctor :   Ok.
Doctor :   Can you any tonsil enlargement?
User :   couldn't really see any obvious enlargement, but unsure of the baseline size
Doctor :   Ok.
Doctor :   Can you see any facial paralysis?
User :   no
Doctor :   That is when you smile, both the lip is moving equally?
User :   yes
Doctor :   Ok.
User :   there does seem to be a visible thin red line down the front of uvula, like a visible blood vessel, is this relevant
Doctor :   Ok.
Doctor :   It could suggest infection.
User :   ok.
Doctor :   From what you have said it is not possible to come to any diagnosis.
User :   I did see a doctor during the worst throat infection approx 2 months ago, and was prescribed penicillin for 7 days.
User :   I understand, thanks...
Doctor :   You have to get a ENT examination.
User :   ok
User :   I know you're not going to want to speculate, but are there any specific visible signs of anything serious like cancer I can look out for?
Doctor :   Cancer usually presents like swelling.
User :   it looks more elongated than swollen
Doctor :   do you smoke and consume alcohol?
Doctor :   Is it painful?
User :   I don't smoke, only very moderate amount of alcohol as I'm breastfeeding
Doctor :   On touch.
User :   think I managed to touch it! no, not painful
Doctor :   Ok.
Doctor :   Causes can be due to any nerve paralysis, enlarged tonsil or and throat swelling.
User :   ok
User :   I'm still a bit paranoid about the cancer risk as I have a small child to raise
Doctor :   Do you have any breathing trouble?
User :   do you know how commonplace it could be?
User :   no breathing trouble, occasional swallowing trouble though
Doctor :   Ok.
Doctor :   It could also have occurred as the result of the endotracheal tube insertion.
User :   ok. will obviously try to see someone asap!
Doctor :   How often do you get sore throat?
User :   so to set my mind at ease for now there are a number of non-cancer explanations?
Doctor :   Yes.
Doctor :   Do you have any change in voice?
User :   over last 2-3 months I've had 2 serious bouts where it's been painful to speak and another 2-3 bouts of mild discomfort
User :   when my throat isn't painful my voice seems normal
Doctor :   Ok.
Doctor :   that is a good sign.
User :   I should say in the worst case it hurt even to open my mouth!
Doctor :   Ok.
User :   that's a relief, thank you!
Doctor :   Do you have any swollen lumps in the neck?
User :   no
Doctor :   Ok.
User :   although unsure if I did while actually had sore throat
Doctor :   Ok.
Doctor :   Then it would be best to get a ENT specialist to get a through examination of the throat.
User :   ok, thanks for your time, I will do
Doctor :   Is there any thing else I can help you with?
User :   no I think that's all for now. thanks
Doctor :   Thanks for consulting me. Bye for now.
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